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Department of Human Services (DHS) Division of Addiction Services (DAS) Information Systems ... - page 6 / 21

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DIMENSION 2: BIOMEDICAL CONDITIONS/COMPLICATIONS

PROCEED TO NEXT DIMENSION IF:

   There are no biomedical problems requiring attention.

GENERAL OUTPATIENT CRITERIA

(Levels I and II.1)

Status characterized by (a) and (b) and (c):

a.

Any biomedical conditions are stable enough to permit outpatient treatment; AND

b.

Biomedical problems will not interfere with treatment; AND

c.

Biomedical problems do not warrant inpatient services.

LEVEL I- OUTPATIENT TREATMENT

Meets General outpatient criteria noted above plus:

Any clinical monitoring can be provided by this program with fewer than 9 hours of contact per week or through concurrent arrangement for medical care.

LEVEL II.1 – INTENSIVE OUTPATIENT TREATMENT

Meets General Outpatient criteria noted above plus:

Any medical monitoring or management can be provided by this program with 9 or more hours of contact per week or through concurrent arrangement for medical care.

LEVEL II.5 – PARTIAL HOSPITALIZATION

Status characterized by (a) and (b) and (c):

a.

All biomedical conditions are stable enough to permit outpatient treatment; AND

b.

Biomedical problems are severe enough to distract from recovery efforts but do not warrant inpatient treatment; AND

c.

Medical monitoring and/or medical management can be provided in the partial hospitalization environment or through a concurrent arrangement for medical care.

LEVEL III.1 – CLINICALLY MANAGED LOW-INTENSITY RESIDENTIAL and

LEVEL III.3 – CLINICALLY MANAGED MEDIUM INTENSITY RESIDENTIAL TREATMENT

Status characterized by (a) or (b) or (c):

a. All biomedical conditions are stable, any required medical or nurse monitoring or management can be         provided at this level of care and any prescribed medications are self-administered; OR

b.Concurrent biomedical condition, though not severe enough to warrant inpatient treatment, will distract          from treatment or recovery efforts without medical monitoring provided by this program or through          established arrangement to provide necessary services; OR

c.This is a biomedical-enhanced program that can address the biomedical condition and provide necessary staff attention at this level of care.

LEVEL III.5 – CLINICALLY MANAGED HIGH-INTENSITY RESIDENTIAL TREATMENT

Status characterized by (a) or (b) or (c):

a.   All biomedical conditions are stable, require less than 24-hour medical monitoring or management, and      any prescribed medications are self-administered; OR

b.

Concurrent biomedical condition, though not severe enough to warrant inpatient treatment, will distract from treatment or recovery efforts without medical monitoring provided by this program or through established arrangement to provide necessary services; OR

c.

This is a biomedical-enhanced program that can address the biomedical condition and provide necessary staff attention at this level of care.

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